sb/hs/rg.
/00004 Date : 00.00.00

Name of the Patient : Abc Xyz Bugajelmn / M / 54 yrs.
Referred by : Dr. Abc Xyzah.
Examination : Intracranial and Neck M.R.A.

CLINICAL PROFILE :

H/O weakness of the RUE and right side of face and slurred speech on 00.00.00 which recovered in 10 minutess.

EXAMINATION :

The brain was screened with 5 mm thick T2 Weighted axial and FLAIR coronal images.

Intracranial and neck MRA were performed with 3D TOF and 2D TOF sequences, respectively.

OBSERVATION :

There is a hyperintense signal, best appreciated on the FLAIR images along the left posterior parietal cortex (scan 105.2). This lesion most likely represents an ischemic lesion, probably recent in the given clinical setting.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Inflammatory changes are noted in the right maxillary antrum.

INTRACRANIAL MRA :

The petrous, cavernous and supraclinoid segments of the internal carotid arteries bilaterally show normal signal and calibre. The visualized anterior cerebral, middle cerebral, basilar, vertebral and posterior cerebral arteries also show normal signal, calibre and wall margins. No obvious aneurysm or vascular malformation is identified.
- 2 - Scan-00002/00004


NECK MRA :

There is an intraluminal filling defect along the postero-medial wall of the terminal right common carotid artery and the proximal right internal carotid artery extending for a distance of about 2.0 cms supero-inferiorly. A similar lesion is noted along the postero-lateral wall of the proximal left internal carotid artery. These lesions most likely represent atherosclerotic plaques. Resultant slight compromise of the lumen of the above described vessels is noted.

The visualized vertebral arteries are unremarkable.

IMPRESSION :

1. Altered signal along the left posterior parietal cortex
as described most likely represents an ischemic lesion, probably recent in the given clinical setting.

2. An intraluminal filling defect along the postero-medial wall of the terminal right common carotid artery and the proximal right internal carotid artery and along the postero-lateral wall of the proximal left internal carotid artery as described may represent atherosclerotic plaques.